MARC details
000 -LEADER |
fixed length control field |
04154nam a22006857a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
fixed length control field |
200826s20202020 xxu||||| |||| 00| 0 eng d |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
International Standard Serial Number |
1941-5923 |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
10.12659/AJCR.925554 [doi] |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
925554 [pii] |
040 ## - CATALOGING SOURCE |
Original cataloging agency |
Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
PMID |
32606285 |
245 ## - TITLE STATEMENT |
Title |
Acute Myopericarditis with Pericardial Effusion and Cardiac Tamponade in a Patient with COVID-19. |
251 ## - Source |
Source |
The American Journal of Case Reports. 21:e925554, 2020 Jul 01. |
252 ## - Abbreviated Source |
Abbreviated source |
Am J Case Rep. 21:e925554, 2020 Jul 01. |
252 ## - Abbreviated Source |
Former abbreviated source |
Am J Case Rep. 21:e925554, 2020 Jul 01. |
253 ## - Journal Name |
Journal name |
The American journal of case reports |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Year |
2020 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Manufacturer |
FY2021 |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Publication status |
epublish |
266 ## - Date added to catalog |
Date added to catalog |
2020-08-26 |
268 ## - Previous citation |
-- |
The American Journal of Case Reports. 21:e925554, 2020 Jul 01. |
269 ## - Original dates |
Original fiscal year |
FY2021 |
520 ## - SUMMARY, ETC. |
Abstract |
BACKGROUND Coronavirus disease 2019 (COVID-19) is primarily a respiratory illness. However, with rising numbers of cases, multiple reports of cardiovascular manifestations have emerged. We present a case of COVID-19 infection complicated by myopericarditis and tamponade requiring drainage. CASE REPORT An 82-year-old woman with multiple comorbidities presented with five days of productive cough, fever with chills, and intermittent diarrhea. She tested positive for COVID-19. Index EKG revealed new diffuse T-wave inversions and a prolonged QT interval (>500 ms). Troponin was mildly elevated without any anginal symptoms. Hydroxychloroquine and azithromycin were not initiated due to concerns about QT prolongation. The echocardiogram revealed preserved left ventricular (LV) function, a small global pericardial effusion, and apical hypokinesis. Serial echocardiograms revealed an enlarging circumferential pericardial effusion with pacemaker wire reported as 'piercing' the right ventricular (RV) apex alongside early diastolic collapse of the right ventricle, suggesting echocardiographic tamponade. Chest CT revealed extension of the RV pacemaker lead into the pericardial fat. Interestingly, on comparison with a previous chest CT from 2019, similar lead positions were confirmed. Pericardiocentesis was performed with removal of 400 cc exudate. CONCLUSIONS Acute myopericarditis and pericardial effusion can occur in COVID-19 infection, even in the absence of severe pulmonary disease. This case highlights the importance of awareness of rare cardiac manifestations of COVID-19 in the form of acute myopericarditis and cardiac tamponade and their early diagnosis and management. |
546 ## - LANGUAGE NOTE |
Language note |
English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
*Betacoronavirus |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
*Cardiac Tamponade/et [Etiology] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
*Early Diagnosis |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
*Myocarditis/co [Complications] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
*Pericardial Effusion/et [Etiology] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
*Pericardiocentesis/mt [Methods] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
*Pericarditis/co [Complications] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Aged, 80 and over |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Cardiac Tamponade/di [Diagnosis] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Cardiac Tamponade/su [Surgery] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Echocardiography |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Female |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Humans |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Myocarditis/di [Diagnosis] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Pericardial Effusion/di [Diagnosis] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Pericardial Effusion/su [Surgery] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Pericarditis/di [Diagnosis] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Ventricular Function, Left/ph [Physiology] |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Heart & Vascular Institute at MedStar Franklin Square Medical Institute |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Heart & Vascular Institute at MedStar Union Memorial Hospital |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Medical Group |
656 ## - INDEX TERM--OCCUPATION |
Department |
Cardiology |
656 ## - INDEX TERM--OCCUPATION |
Department |
MedStar Health Baltimore Residents |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Journal Article |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Brown, Jeffrey Jay |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Kaliyadan, Antony George |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Kanwal, Arjun |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Meininger, Glenn Robert |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Pandit, Anil |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Patel, Bhavin M |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Purohit, Richa |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Saini, Aditya |
790 ## - Authors |
All authors |
Brown JJ, Kaliyadan AG, Kanwal A, Meininger GR, Pandit A, Patel BM, Purohit R, Saini A |
856 ## - ELECTRONIC LOCATION AND ACCESS |
DOI |
<a href="https://dx.doi.org/10.12659/AJCR.925554">https://dx.doi.org/10.12659/AJCR.925554</a> |
Public note |
https://dx.doi.org/10.12659/AJCR.925554 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Koha item type |
Journal Article |
Item type description |
Article |